Article Text
Summary
Femoral neck stress fractures have been described in military recruits and athletes. Early recognition and aggressive treatment are important, as femoral neck stress fractures have a high potential for complications and even uncomplicated fractures require an extensive course of rehabilitation. Tension-side (superolateral) stress fractures of the femoral neck are at high risk for complications such as displacement, non-union and avascular necrosis, and need to be treated surgically, while compression-side (inferomedial) fractures can be treated conservatively. We describe a case illustrating a typical presentation of insidious hip pain culminating in sudden onset of severe hip pain in a healthy young man. We perform a literature review of studies showing epidemiology, treatment algorithms and rehabilitation.
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Footnotes
Contributors All authors contributed a significant amount to the data collection, write-up and editing of the article. SG, AS and MKP collected initial data including history, examination and imaging. SG and ZP obtained patient consent. ZP wrote the initial document version, which was edited by SG, AS and MKP. Final version was agreed on and vetted by ZP, AS, SG and MKP.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.